Provider Demographics
NPI:1821330879
Name:CAMPBELL, ERIN MARIA (LPN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIA
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5521 GARRETT DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2823
Mailing Address - Country:US
Mailing Address - Phone:513-319-2776
Mailing Address - Fax:
Practice Address - Street 1:5521 GARRETT DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2823
Practice Address - Country:US
Practice Address - Phone:513-319-2776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-17
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH146383164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse